Holiday Cvs Llc, NPI 1457455313
Pharmacy in Gainesville, FL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1457455313
NPI Entity Type Organization
Provider Name Holiday Cvs Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4145 Nw 53rd Ave, Gainesville, FL, US
Provider Mailing Address 1 Cvs Dr, Box 1075, Woonsocket, RI, US, 028956146
Is Sole Proprietor? No
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Organization Official

Official Name Susan Colbert
Official Position DIRECTOR, PAYER RELATIONS
Phone 401-770-2751

Primary Taxonomy

Taxonomy Code

333600000X

Taxonomy Name Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 20286
License State FL
Description A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Other Organization Name

CVS PHARMACY # 04139
Doing Business As

Business Address

Holiday Cvs Llc
4145 Nw 53rd Ave

Gainesville, FL, US

Phone: 352-371-9329
Fax: 352-371-0361

Mailing Address

Holiday Cvs Llc
1 Cvs Dr
Box 1075
Woonsocket, RI, US
ZIP 028956146
Phone: 401-765-1500

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336C0003X

Suppliers

Pharmacy

No

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1069120 OTHER ID NUMBER-COMMERCIAL NUMBER 01
105530500 FL MEDICAID 05

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